Evidence map›Paper›PMID 26218766›Full record

ArticleThe aging male : the official journal of the International Society for the Study of the Aging Male2015

Evolution of testosterone treatment over 25 years: symptom responses, endocrine profiles and cardiovascular changes.

Malcolm Carruthers, Paul Cathcart, Mark R Feneley

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in The aging male : the official journal of the International Society for the Study of the Aging Male, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.2field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 21 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 2 countries.

Malcolm Carruthersa Centre for Men's Health , London , UK .
Paul Cathcartc Department of Urology , University College Hospital , London , UK.
Mark R Feneleyc Department of Urology , University College Hospital , London , UK.
University College Hospital · GBEdith Cowan University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTestosterone treatment has evolved rapidly over the past 25 years as new, more effective and convenient methods have become available. This study reports experience with seven different methods, introduced on the market in the UK.

aimTo establish the symptom response when testosterone treatment was initiated on the basis of clinical features and symptoms of androgen deficiency, and the resulting endocrine, biochemical and physiological responses.

methodsOf 2693 patients attending the 3 Men's Health Centers - The UK Androgen Study (UKAS), 2247 were treated. Treatments included pellet implants, oral testosterone undecanoate (Testocaps), mesterolone (Proviron), testosterone gel (Testogel), testosterone scrotal cream (Andromen) and scrotal gel (Tostran).

resultsThere was no correlation between initial testosterone level, initial symptom score or the success of treatment as defined by adequate resolution of symptoms. Despite the diverse endocrine patterns produced, the testosterone preparations appear equally safe over prolonged periods, with either no change or improvement of cardiovascular risk factors, especially in lowering cholesterol and diastolic blood pressure.

conclusionsIt is suggested that because of excessive reliance on laboratory measures of androgens and undue safety concerns, many men who could benefit from symptom relief, improvement in related clinical conditions and given preventive medical benefits remain untreated.

Indexed as

Administration, CutaneousAdultAgedAged, 80 and overCardiovascular DiseasesHormone Replacement TherapyHumansHypogonadismMaleMiddle AgedRetrospective StudiesTestosteroneTreatment OutcomeUnited KingdomTestosteroneNebidoScrotal AndroforteScrotal Tostransymptom scalesTestogeltestosterone replacement therapytestosterone resistanceUK Androgen Study

Identifiers

PMID26218766
PMCPMC4732450
OpenAlexW1861010281

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.